Doctor Name: | FERNANDO VILLA |
NPI Number: | 1053416073 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 05003515A |
Business Practice Address: | 5980 W 71st St Ste 201 Indianapolis, IN - 462781785 |
Business Phone Number: | 3173880800 |
Business Fax Number: | |
Mailing Address: | 21218 Carlton Ct, NOBLESVILLE |
State: | IN |
Postal Code: | 460628001 |
Phone Number: | 3178770098 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05003515A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |